A smart telehealth ECG recording system includes a wearable patch to be worn on a user's skin. The wearable patch includes a stretchable substrate, a pair of electrodes mounted in the stretchable substrate and configured to measurement a voltage signal across the user's skin to produce ECG data, a mechanical sensor configured to measure a pulse from the user's body to produce pulse data, an acceleration sensor configured to measure a movement of the user to produce movement data, an antenna over the stretchable substrate and in electric communications with the pair of electrodes, the mechanical sensor, and the acceleration sensor, wherein the antenna is configured to wirelessly transmit the ECG data, the pulse data, and the movement data associated with the user, and a circuit electrically connected with the pair of electrodes, the mechanical sensor, the acceleration sensor, and the antenna.